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I have been using a Resmed S8 Autoscore 11 with a Resmed Fullface Quattro mask for the last couple of years. I had a pressure test which said I should be on a pressur of 19.5, this is too much for me to handle, and my pressue was set to 13, with the result of AHI averaging about 7, a couple of weeks ago I recorded an AHI of 21 since then it has been between 10 & 15, my Resmed consultant ( whom I don't have a lot of faith in) says I need an auto cpap machinine at a cost of $2100, she has also reccomended a nasal mask, which I have tried but can't tolerate as I am a mouth breather. Ant comments or suggestions would be most welcome
Rob

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Yeah, a pressure of 19.5 is very high, but is there a chance that you could gradually increase your pressure to 19.5?  Since you don't have a lot of faith in this person I would go carefully.  An AUTO machine may help.  Hope someone else has some ideas.

Hi,

I have been using a Resmed S9 with the same face mask as yourself for the past six months.

I have no experience of the single set pressure machines as the NHS (UK) seem to feel that auto CPAP is the way to go. This is because many return visits might be neccesary to establish an optimum set pressure without any further cash to cover the increased cost of these visits.

I would guess that the set pressure needed changes with any change in life style or anything that would affect breathing. My lifestyle as a home carer varies so widely for instance that my level of tiredness when I hit the bed varies hugely.

I value the spontaneity that my work allows and the ability to enjoy the occasional glass of wine with a meal. My weight tends to vary 95-110 Kg over the year and my mood varies low in winter and a bit brighter in summer.Mild 12.9 down to 1or 2 AHI for reference, your apneas probably a higher AHI

The Auto machine seems to cope with the effects of this on my breathing and depth of sleep, so my advice would be to check what deals their are to exchange for an Auto CPAP machine.

My local hospital got a good deal on Auto CPAP and almost seem to use the S9 as a 'diagnostic' tool with their own software to interrogate the memory card. Also to check 'compliance' which is med speak for can you tolerate the machine/mask pressure? given that it can be a bit of a claustrophobic experience. Cheers Roger D

Thankyou Mary & Roger for your replies and helpful input I will check outthe chances of trade in against an auto, last night AHI of 10.9 which is better, perhaps washing the face was a good idea after all o;))
Rob

If I am not mistaken the Auto-set II is an auto-PAP unit. If I am correct all your DME has to do is go into the clinicians menu and change the setting to auto and set the range. Fortunately for you that is your docs call and not his.

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